33D2179373 CLIA NUMBER - NEW YORK DIALYSIS SERVICES INC DBA FKC - HEMPSTEAD

Laboratory Demographics

  • CLIA Code: 33D2179373
  • Facility Name: NEW YORK DIALYSIS SERVICES INC DBA FKC - HEMPSTEAD
  • Facility Address: 615 PENINSULA BLVD
    HEMPSTEAD, NY
    ZIP 11550
  • Facility Phone: 516 483-6702
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. KELLY GORDON-DUBS
  • NPI Number: 1962918508
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2179373
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NEW YORK DIALYSIS SERVICES INC DBA FKC - HEMPSTEAD
Street 615 PENINSULA BLVD
City HEMPSTEAD
State NY
ZIP 11550
Phone 516 483-6702
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2021
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. KELLY GORDON-DUBS

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This page was last updated on: 9/29/2025